Gomez, Jose Mateo
Gomez, Jose Mateo is an individual health care provider with primary practice located at 30521 Schoenherr Rd # 200A , Warren MI 48088-3161. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Gomez, Jose Mateo can be contacted via phone (586) 275-7308.Contact Information
Primary practice address
30521 Schoenherr Rd # 200A
Warren MI 48088-3161
Phone: (586) 275-7308
Fax: (248) 609-7472
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6401018930 | Michigan |
Profile Details
| NPI number | 1558628271 |
|---|---|
| LBN Legal business name | Gomez, Jose Mateo |
| Credentials | MA, LPC, CAADC, CCS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2012 |
| Last updated | Dec 22nd, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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